Department of Social Psychiatry, the Affiliated Brain Hospital of Guangzhou Medical University (Guangzhou Huiai Hospital), Guangzhou, China; School of Psychology, Centre for Studies of Psychological Applications, Guangdong Key Laboratory of Mental Health and Cognitive Science, Ministry of Education Key Laboratory of Brain Cognition and Educational Science, South China Normal University, Guangzhou, China.
Department of Social Psychiatry, the Affiliated Brain Hospital of Guangzhou Medical University (Guangzhou Huiai Hospital), Guangzhou, China.
Schizophr Res. 2023 Feb;252:309-316. doi: 10.1016/j.schres.2023.01.027. Epub 2023 Jan 23.
Although plenty of evidence has shown the huge negative impact of COVID-19 on individuals' mental health conditions, little is known about its impact on the psychotic-like experiences (PLEs) in the general population. We aim to explore the prevalence of PLEs and relevant influential factors among adolescents during COVID-19 lockdown.
A total of 3234 students completed one online survey between April to May 2020. PLEs were assessed using the 15-item Positive Subscale of the Community Assessment of Psychic Experiences (CAPE-P15). Resilience, social support, childhood trauma, and a series of socio-demographic factors were also evaluated.
In this sample, 51.4 % adolescents reported having at least one PLE, while 11.6 % experienced PLEs frequently during COVID-19 lockdown. Senior high school students showed more frequent PLEs than college students (p < 0.001). Female gender (OR = 1.77), history of mental disorders (OR = 3.07) or chronic physical illness (OR = 2.04), having relatives or friends being infected with COVID-19 (OR = 3.12), longer daily exposure to media coverage of the COVID-19 (OR = 1.60), and more childhood trauma (OR = 1.54-3.49) were correlated with more frequent PLEs, while higher resilience (OR = 0.35-0.54) and more perceived social support (OR = 0.63-0.72) were associated with decreased odds for frequent PLEs. Additionally, there were several differences among the influential factors between senior high school and college students.
PLEs were relatively common among Chinese adolescents, with higher prevalence among senior high school students during COVID-19 lockdown. Adolescents with specific characteristics should receive more attention in the development of intervention measures in mental health during pandemic lockdown.
尽管大量证据表明 COVID-19 对个体心理健康状况有巨大的负面影响，但对其在普通人群中产生的类精神病体验（PLE）知之甚少。我们旨在探讨 COVID-19 封锁期间青少年 PLE 的流行情况及其相关影响因素。
共有 3234 名学生于 2020 年 4 月至 5 月期间完成了一项在线调查。使用社区心理体验评估的 15 项阳性量表（CAPE-P15）评估 PLE。还评估了韧性、社会支持、童年创伤和一系列社会人口因素。
在该样本中，51.4%的青少年报告至少有一种 PLE，而 11.6%的青少年在 COVID-19 封锁期间经常出现 PLE。高中生比大学生更频繁地出现 PLE（p<0.001）。女性（OR=1.77）、精神障碍史（OR=3.07）或慢性躯体疾病史（OR=2.04）、有亲属或朋友感染 COVID-19（OR=3.12）、每天接触媒体对 COVID-19 的报道时间较长（OR=1.60）、童年创伤较多（OR=1.54-3.49）与 PLE 更频繁相关，而韧性较高（OR=0.35-0.54）和社会支持感知度较高（OR=0.63-0.72）与 PLE 更频繁的几率降低相关。此外，高中生和大学生之间的影响因素存在一些差异。
在 COVID-19 封锁期间，PLE 在中国青少年中较为常见，高中生的患病率较高。在大流行封锁期间，具有特定特征的青少年应在心理健康干预措施的制定中得到更多关注。
